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Temporal summation of pain in sickle cell disease: comparison of adolescents and young adults with chronic vs. infrequent pain. 镰状细胞病疼痛的时间总和:青少年慢性疼痛与非经常性疼痛的比较。
IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-11-08 DOI: 10.1093/jpepsy/jsae090
Cynthia Karlson, Harrison Dickens, Wynette Williams-Kirkwood, Megan Mascaro, Erin Jackson, Veronica Carullo, Melissa McNaull, Matthew C Morris

Objective: This study examined the role of central sensitization in the experience of pain among adolescents and young adults with the most severe genotypes of sickle cell disease (SCD). We hypothesized that adolescents and young adults with chronic SCD pain would demonstrate a higher perceptual response to repeated stimulation of identical intensity (i.e., temporal summation of pain, TSP) compared to counterparts with infrequent pain. We also examined psychological risk factors that can impact pain sensitivity.

Methods: Patients ages 12-21 years, diagnosed with SCD type Hb SS or Hb S Beta0Thalasemia, who reported infrequent pain (≤2 pain days/month; n = 25) or met AAPT criteria for chronic SCD pain (n = 25) were enrolled. Patients were age- and sex-matched, with similar proportions receiving chronic blood transfusion and hydroxyurea. Patients completed static quantitative sensory testing (QST) and dynamic TSP testing to assess pain sensitivity. Patients and a caregiver completed demographic and psychological measures (depression, anxiety, pain interference, pain catastrophizing).

Results: Simple slope analysis revealed differentially elevated heat TSP among adolescents and young adults with chronic SCD pain (b = 3.14, p = .002) but not those with infrequent pain (b = 0.45, p = .61). Faster habituation was further observed for those with chronic compared to infrequent pain. Adolescents and young adults with chronic pain reported more frequent depression, anxiety, and pain interference symptoms; however, psychological symptoms and pain catastrophizing were not associated with QST or TSP (ps >.17).

Conclusion: Current results demonstrate that a well-established, prognostic, QST risk marker (i.e., TSP) may distinguish chronic from infrequent pain subgroups of adolescents and young adults with SCD.

研究目的本研究探讨了中枢敏化在患有最严重镰状细胞病(SCD)基因型的青少年疼痛体验中的作用。我们假设,与不经常感到疼痛的青少年相比,患有慢性 SCD 疼痛的青少年会对相同强度的重复刺激(即疼痛的时间累加,TSP)表现出更高的知觉反应。我们还研究了可能影响疼痛敏感性的心理风险因素:方法:我们招募了年龄在 12-21 岁、被诊断为 SCD 型 Hb SS 或 Hb S Beta0Thalasemia 的患者,这些患者报告说他们不经常疼痛(≤2 个疼痛日/月;n = 25)或符合 AAPT 慢性 SCD 疼痛标准(n = 25)。患者的年龄和性别匹配,接受慢性输血和羟基脲治疗的患者比例相似。患者完成了静态定量感觉测试 (QST) 和动态 TSP 测试,以评估疼痛敏感性。患者和一名护理人员完成了人口统计学和心理测量(抑郁、焦虑、疼痛干扰、疼痛灾难化):简单斜率分析显示,患有慢性 SCD 疼痛的青少年和年轻人的热 TSP 有不同程度的升高(b = 3.14,p = .002),但不经常疼痛的青少年和年轻人的热 TSP 没有升高(b = 0.45,p = .61)。与不经常疼痛的人群相比,慢性疼痛人群的习惯化速度更快。患有慢性疼痛的青少年和年轻人更频繁地出现抑郁、焦虑和疼痛干扰症状;然而,心理症状和疼痛灾难化与 QST 或 TSP 无关(ps >.17):目前的研究结果表明,一个成熟的、预后性的 QST 风险标记(即 TSP)可以区分患有 SCD 的青少年和年轻成人中的慢性疼痛亚组和非经常性疼痛亚组。
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引用次数: 0
Systematic review and meta-analysis of combined cognitive-behavioral therapy and physical activity and exercise interventions for pediatric chronic disease. 针对儿科慢性病的认知行为疗法与体育活动和运动干预相结合的系统回顾和荟萃分析。
IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-11-08 DOI: 10.1093/jpepsy/jsae087
William R Black, Lauren von Klinggraeff, David A White, Bethany Forseth, Jamie L Jackson, Carolyn R Bates, Christopher D Pfledderer, Sidney Dobbins, Kristen R Hoskinson, Alison Gehred, Ann M Davis

Objective: Cognitive-behavioral (CBT) interventions combined with either a physical activity (CBT+PA) or exercise intervention (CBT+Ex) are becoming more common in pediatric populations. Considering the independent effects of PA and exercise on health and psychological outcomes, it is unclear whether CBT alone differs from CBT+PA or CBT+Ex in efficacy. The main objective of this systematic review and meta-analysis of randomized clinical trials (RCTs) was to assess the efficacy of CBT+PA and CBT+Ex interventions in pediatric chronic disease.

Method: This review included RCTs in children (≤18 years) with a chronic condition, a CBT+Ex or CBT+PA intervention, and an objective measure of PA&Ex. Seven databases were searched using MeSH terms and key terms and included studies published before July 1, 2023. Abstracts were reviewed for inclusion by two independent reviewers, data was extracted by three independent reviewers. Risk of bias (RoB 2) and study quality were coded. Random effect meta-analyses of differences in between-group change in PA&Ex were conducted.

Results: Eligible studies (k = 5) reported outcomes for a combined 446 children. A small, nonsignificant overall effect was found (d = 0.10, 95% CI -0.16, 0.35) indicating intervention groups (CBT+PA or CBT+Ex) increased engagement in PA&Ex more than comparator groups (CBT). Additional analyses were inconclusive due to the small number of eligible studies.

Discussion: Additional RCTs are needed with integrated PA&Ex interventions targeting pediatric chronic disease. Future trials should report more detailed PA&Ex data. The full protocol for this analysis was prospectively registered in Open Science Framework (project ID: osf.io/m4wtc).

目的:认知行为(CBT)干预与体育锻炼(CBT+PA)或运动干预(CBT+Ex)相结合,在儿科人群中越来越常见。考虑到体育锻炼和运动对健康和心理结果的独立影响,目前尚不清楚单纯的 CBT 与 CBT+PA 或 CBT+Ex 在疗效上是否存在差异。本系统综述和随机临床试验(RCTs)荟萃分析的主要目的是评估 CBT+PA 和 CBT+Ex 干预措施对儿科慢性病的疗效:方法:本综述纳入了针对患有慢性疾病、CBT+Ex 或 CBT+PA 干预以及 PA&Ex 客观测量指标的儿童(18 岁以下)的 RCT。使用 MeSH 术语和关键术语检索了七个数据库,并纳入了 2023 年 7 月 1 日之前发表的研究。两名独立审稿人对摘要进行了审查,三名独立审稿人对数据进行了提取。对偏倚风险(RoB 2)和研究质量进行了编码。对PA&Ex的组间变化差异进行随机效应荟萃分析:符合条件的研究(k = 5)共报告了 446 名儿童的结果。结果显示,干预组(CBT+PA 或 CBT+Ex)比参照组(CBT)更能提高 PA&Ex 的参与度,但总体效应较小且不显著(d = 0.10,95% CI -0.16,0.35)。由于符合条件的研究数量较少,其他分析尚无定论:讨论:需要对针对儿科慢性疾病的综合 PA&Ex 干预措施进行更多的 RCT 研究。未来的试验应报告更详细的 PA&Ex 数据。本分析的完整方案已在开放科学框架(项目编号:osf.io/m4wtc)中进行了前瞻性注册。
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引用次数: 0
Insomnia severity and obesity mediated by health behaviors in adolescents. 青少年健康行为对失眠严重程度和肥胖的影响。
IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-11-07 DOI: 10.1093/jpepsy/jsae098
Olivia M Triplett, Holly E R Morrell, Tori R Van Dyk

Objective: Sleep difficulties in youth have been associated with numerous negative outcomes, such as higher risk of obesity. Though the relationship between sleep and obesity is not well clarified, past research has shown that modifiable health behaviors, such as diet, physical activity, and screen time, may explain this relationship. The purpose of this study was to simultaneously examine these health behaviors as mediators of the relationship between insomnia severity and obesity among a sample of adolescents aged 12-18 years.

Method: English-speaking parents/legal guardians of adolescents were invited to participate in an online survey focused on pediatric sleep patterns, health behaviors, and weight. Parents/guardians (N = 599) reported on their adolescent's diet (i.e., consumption of fruits/vegetables, fast food, and breakfast), physical activity, screen time, and BMI. A multiple mediation analysis was run to test these health behaviors as mediators of the relationship between insomnia severity and BMI, after controlling for sex, age, race, and poverty.

Results: While insomnia was related to most health behaviors, screen time was the only significant mediator of the relationship between insomnia and BMI, after controlling for the effects of the other mediators and all covariates, ab = .04, 95% CrI [.01, .09].

Conclusions: Screen time has implications for both adolescents' sleep health and weight. Pediatric clinicians should systematically assess for, and provide, recommendations on ways to improve sleep and screen time use, in addition to providing traditional dietary and physical activity recommendations.

目的青少年睡眠困难与许多不良后果有关,例如肥胖风险较高。虽然睡眠与肥胖之间的关系还不十分明确,但过去的研究表明,饮食、体育活动和屏幕时间等可改变的健康行为可能会解释这种关系。本研究旨在同时研究这些健康行为作为失眠严重程度与肥胖之间关系的中介因素在 12-18 岁青少年样本中的作用:方法:邀请讲英语的青少年父母/法定监护人参与一项在线调查,重点关注儿科睡眠模式、健康行为和体重。家长/监护人(N = 599)报告了青少年的饮食(即水果/蔬菜、快餐和早餐的消费)、体育活动、屏幕时间和体重指数。在控制了性别、年龄、种族和贫困程度后,进行了多重中介分析,以检验这些健康行为是否是失眠严重程度与体重指数之间关系的中介:尽管失眠与大多数健康行为有关,但在控制了其他中介因素和所有协变量的影响后,屏幕时间是失眠与体重指数之间关系的唯一显著中介因素,ab = .04, 95% CrI [.01, .09]:结论:屏幕时间对青少年的睡眠健康和体重都有影响。儿科临床医生除了提供传统的饮食和体育锻炼建议外,还应系统地评估改善睡眠和屏幕时间使用的方法,并提供相关建议。
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引用次数: 0
Handling missing data in longitudinal clinical trials: three examples from the pediatric psychology literature. 处理纵向临床试验中的缺失数据:儿科心理学文献中的三个实例。
IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-11-07 DOI: 10.1093/jpepsy/jsae070
James Peugh, Constance Mara

Researchers by default tend to choose complex models when analyzing nonindependent response variable data, this may be particularly applicable in the analysis of longitudinal trial data, possibly due to the ability of such models to easily address missing data by default. Both maximum-likelihood (ML) estimation and multiple imputation (MI) are well-known to be acceptable methods for handling missing data, but much of the recently published quantitative literature has addressed questions regarding the research designs and circumstances under which one should be chosen over the other. The purpose of this article is threefold. First, to clearly define the assumptions underlying three common longitudinal trial data analysis models for continuous dependent variable data: repeated measures analysis of covariance (RM-ANCOVA), generalized estimating equation (GEE), and a longitudinal linear mixed model (LLMM). Second, to clarify when ML or MI should be chosen, and to introduce researchers to an easy-to-use, empirically well-validated, and freely available missing data multiple imputation program: BLIMP. Third, to show how missing longitudinal trial data can be handled in the three data analysis models using three popular statistical analysis software packages (SPSS, Stata, and R) while keeping the published quantitative research in mind.

研究人员在分析非独立响应变量数据时,默认情况下倾向于选择复杂的模型,这在分析纵向试验数据时可能尤其适用,这可能是由于这类模型默认情况下能够轻松处理缺失数据。众所周知,最大似然估计(ML)和多重估算(MI)都是处理缺失数据的可接受方法,但最近发表的许多定量文献都探讨了有关研究设计和在何种情况下应选择其中一种方法的问题。本文的目的有三。首先,明确定义连续因变量数据的三种常见纵向试验数据分析模型的基本假设:重复测量协方差分析(RM-ANCOVA)、广义估计方程(GEE)和纵向线性混合模型(LLMM)。其次,阐明何时应选择 ML 或 MI,并向研究人员介绍一种易于使用、经验验证充分、可免费获取的缺失数据多重估算程序:BLIMP。第三,展示如何使用三种流行的统计分析软件包(SPSS、Stata 和 R)在三种数据分析模型中处理缺失的纵向试验数据,同时牢记已发表的定量研究成果。
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引用次数: 0
Associations between tripartite dimensions of internalizing symptoms and transition readiness in a sample of emerging adults with and without chronic physical health conditions. 在有和没有慢性身体健康问题的新成人样本中,内化症状的三方维度与过渡准备之间的关联。
IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-11-01 DOI: 10.1093/jpepsy/jsae079
Taylor Macaulay, Joanna Buscemi, Susan Tran, Steven A Miller, Rachel Neff Greenley

Objective: Theoretical models note psychosocial functioning as a key influence on transition readiness skills (TRS) among emerging adults (EA), but little is known about the relative importance of unique vs. shared anxiety and depressive dimensions, operationalized according to Clark and Watson's (1991) tripartite model, in contributing to TRS. Moreover, although development of TRS is important for all EA, few studies have examined whether the strength of relationships between internalizing symptoms and TRS vary between EA with and without chronic physical health conditions (CHC). Given the links between suboptimal TRS and adverse health outcomes, additional research is needed. This study examined individual and additive associations between three internalizing symptom dimensions (anxious arousal, anhedonic depression, and general distress) and TRS, as well as the moderating role of CHC status.

Method: One hundred twenty-six EA completed an online survey measuring TRS and internalizing symptoms. The sample was 70.6% women, 39.7% of minoritized racial identity, and 21.2% Hispanic ethnicity. The mean participant age was 21.23 years.

Results: In two of three regression models, anhedonic depression alone was significantly related to TRS. CHC moderated the relationship between internalizing and TRS in only two of nine models. In both cases, internalizing symptoms were negatively associated with TRS for those without CHCs, but not for those with CHCs.

Conclusions: Assessment of anhedonic depression may be particularly useful in identifying youth at risk for suboptimal TRS regardless of CHC status. Moreover, interventions such as behavioral activation to improve TRS skill attainment warrant additional investigation.

目的:理论模型指出,社会心理功能是影响新兴成人(EA)过渡准备技能(TRS)的关键因素,但对于根据 Clark 和 Watson(1991 年)的三方模型进行操作的独特焦虑和抑郁维度与共同焦虑和抑郁维度在促进 TRS 方面的相对重要性却知之甚少。此外,尽管TRS的发展对所有EA都很重要,但很少有研究探讨内化症状和TRS之间的关系强度在有和没有慢性身体健康状况(CHC)的EA之间是否存在差异。鉴于亚健康 TRS 与不良健康后果之间的联系,需要进行更多的研究。本研究考察了三个内化症状维度(焦虑唤醒、厌世抑郁和一般困扰)与TRS之间的个体和叠加关系,以及CHC状况的调节作用:126名EA完成了一项在线调查,测量TRS和内化症状。样本中有 70.6% 为女性,39.7% 为少数民族,21.2% 为西班牙裔。参与者的平均年龄为 21.23 岁:在三个回归模型中的两个模型中,情绪抑郁本身与 TRS 有显著关系。在九个模型中,只有两个模型中的 CHC 调节了内化症状和 TRS 之间的关系。在这两种情况下,无CHC者的内化症状与TRS呈负相关,而有CHC者的内化症状与TRS无关:结论:无论 CHC 状况如何,厌世抑郁评估对于识别 TRS 不达标的高危青少年可能特别有用。此外,还需要对行为激活等干预措施进行进一步研究,以提高TRS技能。
{"title":"Associations between tripartite dimensions of internalizing symptoms and transition readiness in a sample of emerging adults with and without chronic physical health conditions.","authors":"Taylor Macaulay, Joanna Buscemi, Susan Tran, Steven A Miller, Rachel Neff Greenley","doi":"10.1093/jpepsy/jsae079","DOIUrl":"10.1093/jpepsy/jsae079","url":null,"abstract":"<p><strong>Objective: </strong>Theoretical models note psychosocial functioning as a key influence on transition readiness skills (TRS) among emerging adults (EA), but little is known about the relative importance of unique vs. shared anxiety and depressive dimensions, operationalized according to Clark and Watson's (1991) tripartite model, in contributing to TRS. Moreover, although development of TRS is important for all EA, few studies have examined whether the strength of relationships between internalizing symptoms and TRS vary between EA with and without chronic physical health conditions (CHC). Given the links between suboptimal TRS and adverse health outcomes, additional research is needed. This study examined individual and additive associations between three internalizing symptom dimensions (anxious arousal, anhedonic depression, and general distress) and TRS, as well as the moderating role of CHC status.</p><p><strong>Method: </strong>One hundred twenty-six EA completed an online survey measuring TRS and internalizing symptoms. The sample was 70.6% women, 39.7% of minoritized racial identity, and 21.2% Hispanic ethnicity. The mean participant age was 21.23 years.</p><p><strong>Results: </strong>In two of three regression models, anhedonic depression alone was significantly related to TRS. CHC moderated the relationship between internalizing and TRS in only two of nine models. In both cases, internalizing symptoms were negatively associated with TRS for those without CHCs, but not for those with CHCs.</p><p><strong>Conclusions: </strong>Assessment of anhedonic depression may be particularly useful in identifying youth at risk for suboptimal TRS regardless of CHC status. Moreover, interventions such as behavioral activation to improve TRS skill attainment warrant additional investigation.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"840-849"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Supporting healthy sleep: a qualitative assessment of adolescents with type 1 diabetes and their parents. 支持健康睡眠:对 1 型糖尿病青少年及其父母的定性评估。
IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-11-01 DOI: 10.1093/jpepsy/jsae055
Anne E Bowen, Sydney Holtman, Jennifer Reich, Stacey L Simon

Objective: Poor sleep health is common in adolescence due to a combination of physiological, psychosocial, and environmental factors. Adolescents with type 1 diabetes (T1D) may be at increased risk for poor sleep health due to physiological and behavioral aspects of diabetes and its management. This article describes a qualitative analysis of interviews with adolescents with T1D and their parents about facilitators and barriers to sleep health and family strategies to balance teens' sleep with competing demands.

Methods: Separate interviews were conducted with 20 adolescents with T1D and 20 parents. Interviews were recorded and transcribed verbatim and analyzed thematically. Participants were on average 15.8 ± 1.2 years old, 45% female, and 85% non-Hispanic White.

Results: Overnight diabetes management was the most frequently reported barrier to sleep. Families reported different strategies for taking responsibility of overnight diabetes management, which differentially impacted sleep. Families worked to balance diabetes management and sleep with other aspects of adolescent life, including school demands, social activities, and electronics use. Facilitators to healthy sleep identified by families included diabetes assistive technology and maintaining a consistent sleep/wake schedule. Both adolescents and parents voiced beliefs that their diabetes care team is not able to help with sleep health.

Conclusions: Pediatric psychologists should be aware of the specific sleep barriers experienced by adolescents with T1D and their parents. A focus on overnight diabetes management strategies may facilitate psychologists' support of families in the adolescent's transition to independent diabetes management. Research is needed on the impact of optimizing sleep health in adolescents with T1D.

目的由于生理、社会心理和环境因素的综合影响,睡眠质量差在青少年时期很常见。患有 1 型糖尿病(T1D)的青少年可能会因为糖尿病及其管理的生理和行为方面的原因而增加睡眠质量差的风险。本文介绍了对患有 T1D 的青少年及其父母进行的访谈的定性分析,内容涉及睡眠健康的促进因素和障碍,以及平衡青少年睡眠与各种需求的家庭策略:分别对 20 名患 T1D 的青少年和 20 名家长进行了访谈。对访谈进行了录音和逐字记录,并进行了专题分析。参与者平均年龄(15.8 ± 1.2)岁,45%为女性,85%为非西班牙裔白人:结果:隔夜糖尿病管理是最常见的睡眠障碍。据报告,家庭在承担糖尿病夜间管理责任方面采取了不同的策略,这对睡眠产生了不同的影响。家庭努力平衡糖尿病管理和睡眠与青少年生活的其他方面,包括学校要求、社交活动和电子产品的使用。家庭确定的促进健康睡眠的因素包括糖尿病辅助技术和保持一致的睡眠/觉醒时间表。青少年和家长都认为,他们的糖尿病护理团队无法在睡眠健康方面提供帮助:结论:儿科心理学家应了解患有 T1D 的青少年及其父母所经历的特殊睡眠障碍。关注糖尿病夜间管理策略可能有助于心理学家在青少年过渡到独立管理糖尿病的过程中为其家庭提供支持。我们需要研究优化 T1D 青少年睡眠健康的影响。
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引用次数: 0
Latent profiles and predictors of barriers to care in Swiss children and adolescents with rare diseases. 瑞士罕见病儿童和青少年护理障碍的潜在特征和预测因素。
IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-11-01 DOI: 10.1093/jpepsy/jsae076
Susanne Wehrli, Matthias R Baumgartner, Andrew A Dwyer, Markus A Landolt

Objective: Children and adolescents with rare diseases face significant barriers when accessing healthcare. We aimed to assess and predict these barriers and investigate associations with health-related quality of life (HRQoL).

Method: We conducted a cross-sectional survey of Swiss parents (N = 189) of children with rare diseases including the Barriers to Care Questionnaire (BCQ), containing six barriers and the Pediatric Quality of Life Inventory (PedsQL). Latent profile analysis (LPA) was used to uncover distinct classes, which were compared using chi-square tests and Mann-Whitney U tests. Relevant medical and sociodemographic class predictors were identified using Elastic Net regression, followed by regression analysis to investigate their role in predicting barriers to care and examine the effects of these classes on HRQoL.

Results: Two distinct groups were identified, a higher barriers class (59%) and a lower barriers class (41%). In the higher barriers class, participants showed elevated scores across all subscales and specifically on pragmatics and expectations. More barriers to care were linked to a nonstable disease course (OR = 2.27, p = .002) and a diagnosis after the age of 3 months (OR = 2.17, p = .006). Individuals in the higher barriers class exhibited more psychological comorbidities (p = .044), congenital malformations/deformations/chromosomal abnormalities (p=.042), and medical misdiagnoses (p = .006). Children in the higher barriers class had significantly lower PedsQL scores compared to the lower barriers class (p <.05).

Conclusion: This study highlights the need for comprehensive assessment of barriers to pediatric care in rare diseases, offering potential entry points for targeted interventions.

目的:患有罕见病的儿童和青少年在获得医疗保健服务时面临巨大障碍。我们旨在评估和预测这些障碍,并研究它们与健康相关生活质量(HRQoL)之间的关系:我们对瑞士罕见病患儿的父母(189 人)进行了一项横断面调查,其中包括包含六种障碍的 "医疗障碍问卷"(BCQ)和 "儿科生活质量量表"(PedsQL)。采用潜在特征分析(LPA)发现了不同的类别,并通过卡方检验和曼-惠特尼U检验对这些类别进行了比较。使用弹性网回归法确定了相关的医疗和社会人口类别预测因子,然后进行回归分析,以研究它们在预测护理障碍方面的作用,并研究这些类别对 HRQoL 的影响:结果:确定了两个不同的组别,即障碍较高组别(59%)和障碍较低组别(41%)。在障碍较高的组别中,参与者在所有分量表中的得分都有所提高,特别是在实用性和期望值方面。更多的护理障碍与不稳定的病程(OR = 2.27,p = .002)和 3 个月后的诊断(OR = 2.17,p = .006)有关。障碍等级越高的患儿,其心理并发症(p = .044)、先天畸形/畸形/染色体异常(p=.042)和医疗误诊(p = .006)越多。与障碍等级较低的儿童相比,障碍等级较高的儿童的 PedsQL 得分明显较低(p 结论:PedsQL 得分较高的儿童的 PedsQL 得分明显较低:本研究强调了全面评估罕见病儿科护理障碍的必要性,为有针对性的干预措施提供了潜在的切入点。
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引用次数: 0
Posttraumatic stress symptoms in parents of children with newly diagnosed cancer: 1-year trajectories and relationship variables as predictors. 新确诊癌症患儿父母的创伤后应激症状:1 年轨迹和作为预测因素的关系变量。
IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-11-01 DOI: 10.1093/jpepsy/jsae077
Alexandra J Vogt, Lasse Bartels, Michael Grotzer, Guy Bodenmann, Kurt Leibundgut, Jochen Rössler, Markus A Landolt

Objective: The way in which parental posttraumatic stress symptoms (PTSS) unfold in the first year after a cancer diagnosis in their child is poorly understood. The aims of this study were to identify parental PTSS trajectories and to examine couple-related predictors (dyadic coping and we-disease appraisals), sociodemographic predictors (education and sex), and medical predictors (child's physical impairment) of trajectory membership.

Method: A 1-year prospective study was conducted, and 157 parents of children newly diagnosed with cancer were assessed. PTSS was measured with the Posttraumatic Diagnostic Scale for DSM-5 (PDS-5) at 3-6 weeks (T1), 6 months (T2), and 12 months (T3) after the diagnosis. The trajectories were identified with Latent Class Growth Analysis, the predictors were explored with binomial logistic regression.

Results: Two distinct trajectories were found. The majority of parents (86.0%) followed a low PTSS trajectory, characterized by initially low scores that slightly decreased over 12 months. In contrast, 14.0% of parents displayed a stable, high PTSS trajectory. A high trajectory of child's physical impairment and low scores in parental dyadic coping were significantly associated with the likelihood of a high parental PTSS trajectory.

Conclusions: The findings provide new insights into the critical period of the first year after a child's cancer diagnosis. While most parents display a resilient, low PTSS trajectory, a minority consistently experience high PTSS levels. Child's physical impairment and dyadic coping should be considered as predictors for early identification of vulnerable parents. Incorporating dyadic coping in parental support following a childhood cancer diagnosis could be beneficial for parental mental health.

目的:人们对父母在子女确诊癌症后第一年内出现创伤后应激症状(PTSS)的方式知之甚少。本研究的目的是确定父母创伤后应激障碍的发展轨迹,并研究与夫妻相关的预测因素(夫妻应对和我们的疾病评估)、社会人口学预测因素(教育和性别)以及轨迹成员的医学预测因素(子女的身体损伤):方法:我们开展了一项为期一年的前瞻性研究,对 157 名新确诊癌症患儿的父母进行了评估。在确诊后 3-6 周(T1)、6 个月(T2)和 12 个月(T3),使用 DSM-5 创伤后诊断量表(PDS-5)测量 PTSS。通过潜类增长分析确定了轨迹,并通过二项式逻辑回归探讨了预测因素:结果:发现了两种不同的轨迹。大多数家长(86.0%)遵循低PTSS轨迹,其特点是最初得分较低,12个月后得分略有下降。相比之下,14.0% 的家长表现出稳定的高 PTSS 轨迹。儿童身体损伤的高轨迹和父母在二元应对中的低得分与父母的高PTSS轨迹的可能性显著相关:研究结果为儿童癌症确诊后第一年的关键时期提供了新的见解。虽然大多数父母表现出一种有弹性的低 PTSS 轨迹,但也有少数父母持续经历高 PTSS 水平。应将儿童的身体受损情况和夫妻双方的应对方式作为早期识别弱势父母的预测因素。在儿童癌症确诊后,在对父母的支持中加入家庭应对措施,可能对父母的心理健康有益。
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引用次数: 0
Commentary: The integration of sleep health education into diabetes care for adolescents with Type 1 diabetes. 评论:将睡眠健康教育纳入 1 型糖尿病青少年患者的糖尿病护理中。
IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-11-01 DOI: 10.1093/jpepsy/jsae089
Jessica T Hinojosa, Karla K Fehr
{"title":"Commentary: The integration of sleep health education into diabetes care for adolescents with Type 1 diabetes.","authors":"Jessica T Hinojosa, Karla K Fehr","doi":"10.1093/jpepsy/jsae089","DOIUrl":"10.1093/jpepsy/jsae089","url":null,"abstract":"","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"789-790"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Differential item functioning of the revised Multigroup Ethnic Identity Measure (MEIM-R) in racially and income diverse youth with type 1 diabetes. 经修订的多群体种族认同测量(MEIM-R)在不同种族和收入的 1 型糖尿病青少年中的项目功能差异。
IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-11-01 DOI: 10.1093/jpepsy/jsae059
Adora E Choquette, Kristoffer S Berlin, Kishan R Desai, Rachel L Ankney, Rachel Tillery-Webster, Kasey R Harry, LaTasha Holden, Jessica L Cook, Mary E Keenan-Pfeiffer, Katherine A Semenkovich, Kimberly L Klages, Tiffany J Rybak, Gabrielle G Banks, Kathryn Sumpter, Angelica R Eddington

Objective: Racially minoritized youth with T1D are made vulnerable to disproportionately adverse health outcomes compared to White peers due to enduring systems of oppression. Thus, understanding modifiable psychosocial factors associated with diabetes-related outcomes in racially minoritized youth may help to buffer deleterious effects of racism. One factor meriting exploration is racial-ethnic identity. There is currently limited research on measures fit to assess ethnic identity in youth with chronic illnesses. This study's purpose is to examine the factor structure, reliability, and validity of the revised Multigroup Ethnic Identity Measure (MEIM-R) in a racially- and income-diverse sample of youth with T1D across sociodemographic and illness-related proxies for one's positionality in oppressive systems.

Method: As part of a larger study examining resilience, 142 youth with T1D ages 12-18 (Mage = 14.66, SDage = 1.62, 55.6% Black/African-American, 44.4% White) completed the MEIM-R and various psychosocial measures. HbA1c levels and illness duration were extracted from medical records and caregivers reported income information. Confirmatory factor analyses compared the structural validity of competing MEIM-R models, and uniform and non-uniform differential item functioning (DIF) was explored across sociodemographic and illness-related factors.

Results: While a bifactor structure was supported, the MEIM-R was found to exhibit DIF by race and gender on multiple MEIM-R items and did not demonstrate linear bivariate relations with other psychosocial factors.

Conclusions: Since different MEIM-R item response patterns were observed across racial/ethnic and gender groups, caution is warranted in using this measure in racially and gender diverse youth with T1D.

目标:与白人同龄人相比,患有 T1D 的少数种族青少年由于长期受到压迫,其健康状况极易受到不利影响。因此,了解与少数种族青少年糖尿病相关结果有关的可改变的社会心理因素可能有助于缓冲种族主义的有害影响。值得探讨的一个因素是种族-民族身份认同。目前,有关适合评估慢性病青少年种族认同的措施的研究十分有限。本研究的目的是在不同种族和收入的 T1D 青少年样本中,通过社会人口学和与疾病相关的代用指标,考察经修订的多群体种族认同测量(MEIM-R)的因子结构、可靠性和有效性,以了解一个人在压迫性系统中的地位:作为一项大型复原力研究的一部分,142 名 12-18 岁患有 T1D 的青少年(平均年龄 = 14.66 岁,平均年龄 = 1.62 岁,55.6% 为黑人/非裔美国人,44.4% 为白人)完成了 MEIM-R 和各种社会心理测量。HbA1c水平和病程提取自医疗记录,护理人员报告了收入信息。确认性因子分析比较了相互竞争的 MEIM-R 模型的结构有效性,并在社会人口学和疾病相关因素之间探讨了统一和非统一的差异项目功能(DIF):结果:虽然支持双因素结构,但发现MEIM-R在多个MEIM-R项目上表现出种族和性别的DIF,并且没有表现出与其他社会心理因素的线性双变量关系:结论:由于在不同种族/民族和性别群体中观察到不同的 MEIM-R 项目反应模式,因此在对不同种族和性别的 T1D 青少年使用该量表时应谨慎。
{"title":"Differential item functioning of the revised Multigroup Ethnic Identity Measure (MEIM-R) in racially and income diverse youth with type 1 diabetes.","authors":"Adora E Choquette, Kristoffer S Berlin, Kishan R Desai, Rachel L Ankney, Rachel Tillery-Webster, Kasey R Harry, LaTasha Holden, Jessica L Cook, Mary E Keenan-Pfeiffer, Katherine A Semenkovich, Kimberly L Klages, Tiffany J Rybak, Gabrielle G Banks, Kathryn Sumpter, Angelica R Eddington","doi":"10.1093/jpepsy/jsae059","DOIUrl":"10.1093/jpepsy/jsae059","url":null,"abstract":"<p><strong>Objective: </strong>Racially minoritized youth with T1D are made vulnerable to disproportionately adverse health outcomes compared to White peers due to enduring systems of oppression. Thus, understanding modifiable psychosocial factors associated with diabetes-related outcomes in racially minoritized youth may help to buffer deleterious effects of racism. One factor meriting exploration is racial-ethnic identity. There is currently limited research on measures fit to assess ethnic identity in youth with chronic illnesses. This study's purpose is to examine the factor structure, reliability, and validity of the revised Multigroup Ethnic Identity Measure (MEIM-R) in a racially- and income-diverse sample of youth with T1D across sociodemographic and illness-related proxies for one's positionality in oppressive systems.</p><p><strong>Method: </strong>As part of a larger study examining resilience, 142 youth with T1D ages 12-18 (Mage = 14.66, SDage = 1.62, 55.6% Black/African-American, 44.4% White) completed the MEIM-R and various psychosocial measures. HbA1c levels and illness duration were extracted from medical records and caregivers reported income information. Confirmatory factor analyses compared the structural validity of competing MEIM-R models, and uniform and non-uniform differential item functioning (DIF) was explored across sociodemographic and illness-related factors.</p><p><strong>Results: </strong>While a bifactor structure was supported, the MEIM-R was found to exhibit DIF by race and gender on multiple MEIM-R items and did not demonstrate linear bivariate relations with other psychosocial factors.</p><p><strong>Conclusions: </strong>Since different MEIM-R item response patterns were observed across racial/ethnic and gender groups, caution is warranted in using this measure in racially and gender diverse youth with T1D.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"791-801"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141727964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of Pediatric Psychology
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